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A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study

SIMPLE SUMMARY: Soft tissue sarcomas are relatively rare malignant diseases. Part of the diagnosis and follow-up includes medical imaging of the thorax for detection of lung metastases. A Python script was created and trained using a set of lung X-rays and concordant CT scans from a high-volume Germ...

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Autores principales: Wallner, Christoph, Alam, Mansoor, Drysch, Marius, Wagner, Johannes Maximilian, Sogorski, Alexander, Dadras, Mehran, von Glinski, Maxi, Reinkemeier, Felix, Becerikli, Mustafa, Heute, Christoph, Nicolas, Volkmar, Lehnhardt, Marcus, Behr, Björn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508001/
https://www.ncbi.nlm.nih.gov/pubmed/34638445
http://dx.doi.org/10.3390/cancers13194961
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author Wallner, Christoph
Alam, Mansoor
Drysch, Marius
Wagner, Johannes Maximilian
Sogorski, Alexander
Dadras, Mehran
von Glinski, Maxi
Reinkemeier, Felix
Becerikli, Mustafa
Heute, Christoph
Nicolas, Volkmar
Lehnhardt, Marcus
Behr, Björn
author_facet Wallner, Christoph
Alam, Mansoor
Drysch, Marius
Wagner, Johannes Maximilian
Sogorski, Alexander
Dadras, Mehran
von Glinski, Maxi
Reinkemeier, Felix
Becerikli, Mustafa
Heute, Christoph
Nicolas, Volkmar
Lehnhardt, Marcus
Behr, Björn
author_sort Wallner, Christoph
collection PubMed
description SIMPLE SUMMARY: Soft tissue sarcomas are relatively rare malignant diseases. Part of the diagnosis and follow-up includes medical imaging of the thorax for detection of lung metastases. A Python script was created and trained using a set of lung X-rays and concordant CT scans from a high-volume German-speaking sarcoma center. It is capable of detecting malignant metastasis in the lung with a precision of 71.2%, specificity of 90.5%, sensitivity of 94% and accuracy of 91.2%. Furthermore, the program was able to detect even small nodules with a size <1 cm in conventional X-rays of the thorax. This algorithm was implemented into our daily clinical practice alongside with the radiologists’ findings. With this tool we aim to improve the quality of our service and reduce the expenditure of time. ABSTRACT: Introduction: soft tissue sarcomas are a subset of malignant tumors that are relatively rare and make up 1% of all malignant tumors in adulthood. Due to the rarity of these tumors, there are significant differences in quality in the diagnosis and treatment of these tumors. One paramount aspect is the diagnosis of hematogenous metastases in the lungs. Guidelines recommend routine lung imaging by means of X-rays. With the ever advancing AI-based diagnostic support, there has so far been no implementation for sarcomas. The aim of the study was to utilize AI to obtain analyzes regarding metastasis on lung X-rays in the most possible sensitive and specific manner in sarcoma patients. Methods: a Python script was created and trained using a set of lung X-rays with sarcoma metastases from a high-volume German-speaking sarcoma center. 26 patients with lung metastasis were included. For all patients chest X-ray with corresponding lung CT scans, and histological biopsies were available. The number of trainable images were expanded to 600. In order to evaluate the biological sensitivity and specificity, the script was tested on lung X-rays with a lung CT as control. Results: in this study we present a new type of convolutional neural network-based system with a precision of 71.2%, specificity of 90.5%, sensitivity of 94%, recall of 94% and accuracy of 91.2%. A good detection of even small findings was determined. Discussion: the created script establishes the option to check lung X-rays for metastases at a safe level, especially given this rare tumor entity.
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spelling pubmed-85080012021-10-13 A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study Wallner, Christoph Alam, Mansoor Drysch, Marius Wagner, Johannes Maximilian Sogorski, Alexander Dadras, Mehran von Glinski, Maxi Reinkemeier, Felix Becerikli, Mustafa Heute, Christoph Nicolas, Volkmar Lehnhardt, Marcus Behr, Björn Cancers (Basel) Article SIMPLE SUMMARY: Soft tissue sarcomas are relatively rare malignant diseases. Part of the diagnosis and follow-up includes medical imaging of the thorax for detection of lung metastases. A Python script was created and trained using a set of lung X-rays and concordant CT scans from a high-volume German-speaking sarcoma center. It is capable of detecting malignant metastasis in the lung with a precision of 71.2%, specificity of 90.5%, sensitivity of 94% and accuracy of 91.2%. Furthermore, the program was able to detect even small nodules with a size <1 cm in conventional X-rays of the thorax. This algorithm was implemented into our daily clinical practice alongside with the radiologists’ findings. With this tool we aim to improve the quality of our service and reduce the expenditure of time. ABSTRACT: Introduction: soft tissue sarcomas are a subset of malignant tumors that are relatively rare and make up 1% of all malignant tumors in adulthood. Due to the rarity of these tumors, there are significant differences in quality in the diagnosis and treatment of these tumors. One paramount aspect is the diagnosis of hematogenous metastases in the lungs. Guidelines recommend routine lung imaging by means of X-rays. With the ever advancing AI-based diagnostic support, there has so far been no implementation for sarcomas. The aim of the study was to utilize AI to obtain analyzes regarding metastasis on lung X-rays in the most possible sensitive and specific manner in sarcoma patients. Methods: a Python script was created and trained using a set of lung X-rays with sarcoma metastases from a high-volume German-speaking sarcoma center. 26 patients with lung metastasis were included. For all patients chest X-ray with corresponding lung CT scans, and histological biopsies were available. The number of trainable images were expanded to 600. In order to evaluate the biological sensitivity and specificity, the script was tested on lung X-rays with a lung CT as control. Results: in this study we present a new type of convolutional neural network-based system with a precision of 71.2%, specificity of 90.5%, sensitivity of 94%, recall of 94% and accuracy of 91.2%. A good detection of even small findings was determined. Discussion: the created script establishes the option to check lung X-rays for metastases at a safe level, especially given this rare tumor entity. MDPI 2021-10-01 /pmc/articles/PMC8508001/ /pubmed/34638445 http://dx.doi.org/10.3390/cancers13194961 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wallner, Christoph
Alam, Mansoor
Drysch, Marius
Wagner, Johannes Maximilian
Sogorski, Alexander
Dadras, Mehran
von Glinski, Maxi
Reinkemeier, Felix
Becerikli, Mustafa
Heute, Christoph
Nicolas, Volkmar
Lehnhardt, Marcus
Behr, Björn
A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study
title A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study
title_full A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study
title_fullStr A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study
title_full_unstemmed A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study
title_short A Highly Reliable Convolutional Neural Network Based Soft Tissue Sarcoma Metastasis Detection from Chest X-ray Images: A Retrospective Cohort Study
title_sort highly reliable convolutional neural network based soft tissue sarcoma metastasis detection from chest x-ray images: a retrospective cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8508001/
https://www.ncbi.nlm.nih.gov/pubmed/34638445
http://dx.doi.org/10.3390/cancers13194961
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